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-- SERVICE ORDER <br /> _ = =_ = No. N 421446 <br /> ASBURY ENVIRONMENTAL SERVICES <br /> 2100 NORTH ALAMEDA STREET ❑ COMPTON, CALIFORNIA 90222 ❑ (310) 886-3400 <br /> SAN DIEGO OFFICE NORTHERN CALIFORNIA <br /> 1-800-748-5744 EPA CAD02827-7036. 1-800-727-2879 <br /> 1-800-933-9194 <br /> DATE ONETIME PICK UP [:]YES or.lfNO <br /> or <br /> 44t, �,y,�jp; /%off RESIDENT El YES or�'NO <br /> CUSTOMER -. <br /> CONTRACT CUSTOMER ❑ YES or<No <br /> BILLING ADDRESS y � f� AAV <br /> PHONES/) 3s �Z� CONTACT Y CUSTOMER NUMBER <br /> CUSTOMER EPA# f 2 AMOUNT <br /> �b-�� � f/�• J <br /> JOB SITE ADDRESS CHECK NUMBER// <br /> -17 P.O.NUMBER /2 7 <br /> 17— <br /> r <br /> CASH RECEIVED <br /> CROSS STREETS (AMOUNT) <br /> COMMODITY Ir7/ <br /> NOTES:._ <br /> HALIDES P.P.M. <br /> ❑ NOWRCRA HAZARDOUS WASTE, LIQUID(USER,OIUMIXED OILS)STATE CODE <br /> *NOPLACARDS`REQUIRED* <br /> NON-RCRA HAZARDOUS WASTE, LIQUID(ETHYLENE GLYCOL SOLUTIONS)STATE CODE NEXT SERVICE DATE <br /> *NO PLACARDS OR MARKINGS REQUIRED* <br /> F1OTHER DRUMS DRUM <br /> /SIZE <br /> j� ^; <br /> . � NO.-OF GALLONS <br /> MANIFEST NO. <br /> (RUCK NO.&RT. <br /> DRIVER <br /> ❑ NON H PRDOUS DRAINED USED OIL FILTER <br /> ❑ COMMERCIAL FILTER RECYCLING,33210 Western Avenue, Union City,CA,510-487-9277 <br /> ❑ ALTERNATE FACILITY <br /> DESIGNATED TSDF: ❑ ALVISO INDEPENDENT OIL 5002 Archer Street•.Alviso,CA 95502•CA1000161743•(408)262-1360 <br /> ❑ BAYSIDE OIL II,INC.•210 Encinal Street•Santa Cruz,CA 95060•CAD088838222•(408)427-3778 <br /> ❑ ARTESIAN OIL RECOVERY INC. 2306 Magnolia Street•Oakland,CA 94067•CAL000233905•(510)839-4234 <br /> ❑ DeMENNO/KERDOON•2000 N.Alameda Street•Compton,CA 90222•CAT080013352• (310)537-7100 <br /> ❑ OCS-3255 N.Marks Street.•Fresno,CA 93722•CAD_980673842•(559)485-5496 <br /> ,0- RAMOS ENVIRONMENTAL•1515 S.River Road•W.Sacramento,CA 95691 •CAD44003556• (916)371-5747 <br /> 11ASBURY ENI VI ERVICES•2549 Scott Avenue•Chico,CA 95928•CAL000827844 <br /> ❑ ALTERNATE,FACILITY <br /> USED OIL,USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE This is to certify the above named articles are properly classified,described,packaged, marked <br /> RECYCLED AT OUR SISTER COMPANY DEMENNO/KEOON THE and labeled,and in proper dition for transportation,according to the applicable regulations of <br /> LARGEST RECYCLER OF USED OIL IN THE WESTERN UNITED STATES. the Department T nsportatl <br /> *1 HEREBY CERTIFY THAT I HAVE NOT.MIXED THIS WASTE WITH. ANY ��� 2�� Q <br /> OTHER WASTE,THAT THE TOTAL HALIDES'ARE LESS THANr1000 P.P.M.; X CUSTOMER SI TUBE DATE <br /> AND THAT THE WASTE DOES NOT CONTAIN ANY PC-B'S.. <br /> *1 FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL (f i'd� <br /> DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M.TOTAL HALIDES, OR X Dan� PRINT NAME <br /> CONTAINS ANY P.C.B'S. <br />